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New Hampshire rates for MS-DRG 391

Esophagitis, gastroent & misc digest disorders w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,686.41 / $14,373.55 / $27,835.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,995.80 / $23,886.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,161.58 / $18,335.81 / $26,937.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,932.96 / $14,932.96 / $25,987.47